Hello Everyone!

I just wanted to let you know that we will be posting a link to the application classroom where you will access your learning materials and assignments, in just a few days! Keep your eyes open!

Cheers,

Rachael

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The classroom is now live! Look for the link in the latest group post titled "Application Classroom is Live".

Cheers,

Rachael

"Tell me then, what will you do with your one wild, sweet, and precious life?" -Mary Oliver

Natural passions last for a lifetime. Seeing what is happening around and develop that strong abilty to speak out it shows that you have passion for what you feel strongly to make other people be aware or shout loud until your voice is heard. It showa that you have passion and care for others even though they are not your relations to speak out for them and make a commitment to make awareness and public educate them. We live in a world that is very much cruel which is nolonger committed and other people's needs, but we thank our colleagues we still brave the circumstance and write about what is happening. We are in difficult situations where no matter what we try we find there are challenges in that we need to hear from others how they overcome the challenge in they own countries. It is just written and said but how can we stop people living with HIV dying from TB? How can we make sure that countries in those little resources they make sure evidence based work is done.

Thank you

Regina

Regina Bhebhe

My contribution is the aim towards alleviating stigma and discrimination among the poor, vulnerable and people living with TB and HIV. My aim is to contribute in prevention of TB and decrease transmission to others and make patients adhere to treatment. These are efforts done in Bulawayo Metropolitan Province in 2009 February to August 2009. On evidence based we used to organise the community give public education awareness campaigns about TB. Our campaign's name was integrating TB into HIV. How we gave it this name was due to stories among the community. In Zimbabwe when you have been diagnosised TB positive you are not isolated but you live among you family. Lack of information about the disease its prevention and transmission contributed to more acquiring the disease. As we were in the HIV pandemic those who seeked diagnosis and treatment were first requested for HIV test first before any further check can be done. This created more stigma for TB even those who went for HIV test after the test from the new start centres did not contibute any results as after being tested for HIV the client was to present herto the public health clinics for the sputum tests. This had no results because there was no follow - up. Some other challenges was no sputum containers. In some other instants they would communication break down among the health care provider in why the client is requesting for TB diagnosis as she/he is not a doctor or nurse, this contributed to delayed diagnosis. In delayed diagnosed misinformaton was provided for those who had both HIV and TB the disease was called TB 2.This contributed much to our campaigns so that the community and they patients would understand what would have happened to their immune response as they end up with TB. The impact of the public education awareness was fruitful as we produced TB information in our most used local languages. We also tried to work closely with the local community leaders that were from the local government (councillors) they made the meetings for the campaigns a success as they will organise the community assist in the break down of communcation between the healthcare provider they were also given the mandate to write authorization letters to assist those who could not afford hospital fees. The communication breakdow was always health care providers sending away the clints in pretence of why should they request for the test or thre were no sputum containers. We also worked together with the Bulawayo city health department in that if there are no sputum cups clients should improvise by provided clean washed containers that they can have. It did work well for at list up to the begining of 2010 March. For now it seems we have gone back to the same challenge in that in most of those that I communicate with there is always delayed diagnosis and the patients after starting the TB drugs before they finish the course they die. We stopped because of challenges of the situation we are in. We need to here from others how do they overcome such challenges. We need serious advocacy. We had sensetised our political leaders the paliarmentaries but we were just in the process of raising awareness among them but it has become also another challenge of who are you? Some of them had shown interst as they had attend one of our campaigns.

Thank you

Regina

Regina Bhebhe